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  1. Primary care physician responses to a panic disorder vignette : Diagnostic suspicion and clinical management.

    Article - En anglais

    Objective 

    To study current patterns of panic disorder (PD) recognition and management by primary care physicians (PCPs).

    Method 

    We administered a vignette describing a female PD patient to 189 PCPs.

    Results 

    Three-quarters of respondents believed that PD was at least 50 percent probable, and the mean PD likelihood rating was 63 percent.

    Diagnostic suspicion was significantly higher for PD than for other anxiety disorders, major depressive disorder, and cardiac disorders.

    Medication was rated as significantly more necessary than medical testing and mental health referral.

    A benzodiazepine was suggested by 78 percent of respondents, while 35 percent suggested a serotonin reuptake inhibitor (SRI).

    Under half rated the patient as requiring medical testing, mostly for hyperthyroidism (70%) and/or cardiovascular disorder (62%), and half felt that the patient required mental health referral.

    Conclusions 

    The data suggest that most PCPs are able to recognize PD.

    However, they may be excessively inclined to prescribe benzodiazepines rather than more appropriate medications.

    Mots-clés Pascal : Médecin généraliste, Aptitude professionnelle, Diagnostic, Panique, Etude cas, Soin santé primaire, Personnel sanitaire, Santé mentale, Homme, Trouble anxieux

    Mots-clés Pascal anglais : General practitioner, Vocational aptitude, Diagnosis, Panic, Case study, Primary health care, Health staff, Mental health, Human, Anxiety disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0448316

    Code Inist : 002B18H04. Création : 25/01/1999.